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Individual

DR. JOEL MARTIN GOTTLIEB I

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
66SUNSET STRIP, STE107, SUCCASUNNA, NJ 07876-1362
(973) 584-4451
(973) 584-2099
Mailing address
66SUNSET STRIP, STE107, SUCCASUNNA, NJ 07876-1362
(973) 584-4451
(973) 584-2099

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA04231000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1027823
AETNA
NJ
01
180035676
RAILROAD MEDICARE
NJ
05
4705106
NJ
01
IS478
OXFORD
NJ
01
OK5391
HEALTHNET
NJ
Enumeration date
06/28/2005
Last updated
06/08/2012
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